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oh. + SAN JOAQUIN COUNTY <br /> EN :ONMENTAL HEALTH DEPARTI AT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: I d4 Date: - <br /> Address: J5 j Ac,r iG n city: [ ,� 4 h e Zip Code: S y s <br /> Owner/Operator: A to ,r,der i►J A Telephone: 3 73 2 761 r., <br /> Program Element: 3 Program Record: s '7 634 Inspection Type: 40 0 •i n S e C a;o,1 <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Ff .. $ ; <br /> t O ` Other: <br /> The marked violations represent Health &Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters <br /> ❑ Pumps <br /> ❑ Chlorinator . C+ G UnS a c <br /> ❑ Flowmeter <br /> El Gauges lam' I ' Wo o r),5 '•D r r N c 1 e c� <br /> ❑ Skimmer&Gutters <br /> ❑ Back Flow Prevention <br /> ❑ Main Drain Cover <br /> ❑ Equalizer Line Cover <br /> ❑ Pool Shell <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains <br /> ❑ Rescue Pole <br /> _❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting _ <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles - ---- <br /> ❑ First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> ❑ Showers <br /> ❑ Toilet&Dressing <br /> ❑ Ventilation <br /> ❑ Chlorine <br /> ❑ PH --------..._......_.._.._......_....._........._........... <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae <br /> Influent: <br /> Time In: Received By: Inspected by: <br /> Effluent: '/(�� _ <br /> Time Out: <br /> EHD 36-01 7-31-09 SWIMMING POOL OR Page__/_of <br />